A QUESTIONNAIRE SURVEY TO CANCER PATIENTS WHO WERE INFORMED OF THEIR DIAGNOSES AND UNDERWENT SURGICAL OPERATIONS

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  • INOUE Shinya
    Department of Surgery, Ibaraki Prefectural Central Hospital & Cancer Center
  • YOSHIMI Fuyo
    Department of Surgery, Ibaraki Prefectural Central Hospital & Cancer Center
  • UEDA Eiji
    Department of Surgery, Ibaraki Prefectural Central Hospital & Cancer Center
  • ONO Hisayuki
    Department of Surgery, Ibaraki Prefectural Central Hospital & Cancer Center
  • ASATO Yuji
    Department of Surgery, Ibaraki Prefectural Central Hospital & Cancer Center
  • TONOUCHI Hitoshi
    Department of Surgery, Ibaraki Prefectural Central Hospital & Cancer Center
  • KUROKI Yoshihiro
    Department of Surgery, Ibaraki Prefectural Central Hospital & Cancer Center
  • OTSUKA Hiroki
    Department of Surgery, Ibaraki Prefectural Central Hospital & Cancer Center
  • AMEMIYA Ryuta
    Department of Surgery, Ibaraki Prefectural Central Hospital & Cancer Center
  • KOIZUMI Sumihiko
    Department of Surgery, Ibaraki Prefectural Central Hospital & Cancer Center

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  • 癌告知を受けた外科手術患者に対するアンケート調査-各種癌取扱い規約によるstage毎の検討-

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Abstract

We think that “Informed Consent” is necessary to achieve good treatment and care for patients with cancer. We tell the truth to our patients regardless of the origin of cancer, staging, age and sex. From June 1992 to December 1995, we informed 707 operated cancer patients of their true diagnoses. We sent questionnaire forms to 538 out of those 707 patients who are still alive and appeared to be able to respond, and recovered the forms filled by them from 499 patients, a recovery rate of 92.8%. This questionnaire survey was made of 476 of the 499 patients whose stages were known. Irrespective of staging of cancer, about 90% of responders answered that it was best to told the truth, whereas 1% of them answered that they wanted to be told a lie even though they had a cancer. Furthermore, in oeder to respect the patient' s right not to know the truth, we started another questionnaire survey hearing of their wills at time of the first visit whether they wish to know their true diagnoses or not in April 1996, and thereafter we have been tellong the true diagnosis to only patients who wished to know. So far after starting the questionnaire, no patient has answered that he or she want to be told a lie even if he or she has a cancer.<br> We concludd that it is appropriate and possible to tell the truth to cancer patients and this questionnaire survey might contribute to hasten the “Informed Consent” in Japan.

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